DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Convenuto, Mario	DOIID	379113	NAIC NPN	7204194

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	10/23/1995	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	2/14/2001
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Heritage Life Insurance Company	300081	Agent - Credit Life & Health	3/25/1997	8/7/2000
Inactive	Heritage Life Insurance Company	300081	Agent - Limited Line Credit	8/7/2000	2/14/2001
Inactive	Protective Life Insurance Company	300638	Agent - Credit Life & Health	10/23/1995	12/2/1996

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Berea Ford Inc.	399526	Agent - Credit Life & Health	12/13/1995	10/8/1996
Inactive	Tri County Ford-Mercury Inc.	400384	Agent - Credit Life & Health	3/25/1997	7/6/1999